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Gynaecology

Volume 459: debated on Wednesday 18 April 2007

To ask the Secretary of State for Health what percentage of patients referred to hospital with fibroid-related dysfunctional uterine bleeding (menorrhagia) underwent (a) myomectomy and (b) uterine artery embolisation as an alternative to hysterectomy in each of the last five years, broken down by strategic health authority. (124949)

To ask the Secretary of State for Health how many patients were referred to hospital with dysfunctional uterine bleeding (menorrhagia) in each of the last five years, in each strategic health authority area. (124950)

This information is shown in the following tables.

Count of finished admission episodes where the primary diagnosis was Dysfunctional Uterine Bleeding* and Menorrhagia**NHS hospitals in England, 2001-02 to 2005-06

2001-02

2002-03

2003-04

Strategic health authority of treatment

Dysfunctional Uterine Bleeding

Menorrhagia

Dysfunctional Uterine Bleeding

Menorrhagia

Dysfunctional Uterine Bleeding

Menorrhagia

Q01

Norfolk, Suffolk and Cambridgeshire HA

305

2,548

244

2,518

199

2,555

Q02

Bedfordshire and Hertfordshire HA

131

1,291

92

1,259

92

1,194

Q03

Essex HA

299

1,403

318

1,251

348

1,422

Q04

North West London HA

114

1,285

62

1,334

90

1,588

Q05

North Central London HA

166

1,569

177

1,704

181

1,463

Q06

North East London HA

140

1,863

84

1,910

90

1,839

Q07

South East London HA

59

1,401

69

1,634

80

1,459

Q08

South West London HA

84

1,173

101

1,155

90

1,254

Q09

Northumberland, Tyne and Wear HA

366

1,788

336

2,011

316

2,018

Q10

County Durham and Tees Valley HA

253

766

324

1,639

303

1,439

Q11

North and East Yorkshire and Northern Lincolnshire HA

356

2,650

353

2,508

503

2,638

Q12

West Yorkshire HA

404

3,472

428

3,276

407

3,001

Q13

Cumbria and Lancashire HA

115

1,598

231

2,428

215

2,356

Q14

Greater Manchester HA

334

1,838

359

2,806

360

2,687

Q15

Cheshire and Merseyside HA

600

3,580

588

3,367

582

3,224

Q16

Thames Valley HA

163

2,614

187

3,148

172

2,594

Q17

Hampshire and Isle of Wight HA

297

1,872

296

1,835

258

1,533

Q18

Kent and Medway HA

281

1,904

347

1,754

302

1,653

Q19

Surrey and Sussex HA

112

1,307

174

2,299

168

2,384

Q20

Avon, Gloucestershire and Wiltshire HA

239

1,489

268

2,079

228

2,164

Q21

South West Peninsula HA

141

1,919

124

1,768

84

1,638

Q22

Dorset and Somerset HA

141

1,467

129

1,399

109

1,484

Q23

South Yorkshire HA

372

1,386

391

1,564

488

1,549

Q24

Trent HA

448

2,969

414

3,055

396

2,947

Q25

Leicestershire, Northamptonshire and Rutland HA

271

1,874

246

1,654

157

2,106

Q26

Shropshire and Staffordshire HA

272

2,202

150

2,652

180

2,611

Q27

Birmingham and the Black Country HA

305

3,275

307

3,340

454

3,210

Q28

Coventry, Warwickshire, Herefordshire and Worcestershire HA

159

1,913

189

2,017

214

1,668

Y

Not known

443

4,728

1

2004-052005-06

Strategic health authority of treatment

Dysfunctional Uterine Bleeding

Menorrhagia

Dysfunctional Uterine Bleeding

Menorrhagia

Q01

Norfolk, Suffolk and Cambridgeshire HA

193

2,351

171

2,492

Q02

Bedfordshire and Hertfordshire HA

60

1,290

83

1,193

Q03

Essex HA

282

1,408

235

1,422

Q04

North West London HA

49

1,473

50

1,738

Q05

North Central London HA

166

1,399

93

1,282

Q06

North East London HA

48

1,939

83

2,097

Q07

South East London HA

87

1,433

88

1,755

Q08

South West London HA

78

1,337

82

1,257

Q09

Northumberland, Tyne and Wear HA

290

1,884

193

1,926

Q10

County Durham and Tees Valley HA

248

1,460

319

1,452

Q11

North and East Yorkshire and Northern Lincolnshire HA

394

2,694

287

3,023

Q12

West Yorkshire HA

291

2,860

222

2,573

Q13

Cumbria and Lancashire HA

235

2,276

248

2,593

Q14

Greater Manchester HA

332

2,602

267

2,784

Q15

Cheshire and Merseyside HA

420

2,778

429

3,588

Q16

Thames Valley HA

165

2,408

172

2,811

Q17

Hampshire and Isle of Wight HA

279

1,513

241

1,596

Q18

Kent and Medway HA

233

1,490

334

1,776

Q19

Surrey and Sussex HA

203

2,241

235

2,509

Q20

Avon, Gloucestershire and Wiltshire HA

154

2,141

163

2,184

Q21

South West Peninsula HA

125

1,564

124

1,709

Q22

Dorset and Somerset HA

78

1,384

116

1,344

Q23

South Yorkshire HA

585

1,941

215

2,122

Q24

Trent HA

316

2,938

241

2,937

Q25

Leicestershire, Northamptonshire and Rutland HA

166

2,020

325

2,657

Q26

Shropshire and Staffordshire HA

131

2,623

79

2,207

Q27

Birmingham and the Black Country HA

280

2,923

273

3,303

Q28

Coventry, Warwickshire, Herefordshire and Worcestershire HA

217

1,730

212

1,839

Y

Not known

1 Due to reasons of confidentiality, figures between 1 and 5 have been suppressed.

Notes:

Finished admission episodes

A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

Diagnosis (primary diagnosis)

The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.

Selected primary diagnosis codes for Dysfunctional Uterine Bleeding* and Menorrhagia**

Dysfunctional Uterine Bleeding*

N93.8 Other specified abnormal uterine and vaginal bleeding

Includes dysfunctional or functional uterine or vaginal bleeding NOS

Menorrhagia**

Menorrhagia is the term for excessive or frequent menstruation.

N92.0 Excessive and frequent menstruation with regular cycle

Includes Heavy periods NOS

Menorrhagia NOS

Polymenoirrhoea

N92.2 Excessive menstruation at puberty

Includes Excessive bleeding associated with onset of menstrual periods

Pubertal menorrhagia

Puberty bleeding

N92.4 Excessive bleeding in premenopausal period

Includes Menorrhagia or metrorrhagia

Climacteric

Menopausal

Preclimacteric

Premenopausal

N95.0 Post menopausal bleeding

Data Quality

Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS trusts and primary care trusts (PCT's) in England. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.

Source:

Hospital Episode Statistics (HES), the Information Centre for Health and Social Care.

To ask the Secretary of State for Health what percentage of patients referred to hospital with dysfunctional uterine bleeding (menorrhagia) underwent (a) a hysterectomy and (b) ablation as an alternative to hysterectomy in each of the last five years, in each strategic health authority area. (124951)